Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kianee Bouavichith

Individual provider Case Manager/Care Coordinator · NPI 1417870247

Kianee Bouavichith is a Case Manager/Care Coordinator in Saint Paul, Minnesota. Works from 3 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1114 Grand Ave
Saint Paul, MN 55105-2628
Phone: (651) 243-0027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 615 1st Ave Ne Ste 135, Minneapolis, MN 55413-2207 — (651) 243-0027
  • 541 Selby Ave, Saint Paul, MN 55102-1728 — (651) 243-0027

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1417870247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1114 Grand Ave, Saint Paul, MN 55105-2628

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